{"id":1239568982476234800,"conversation_id":"1239568413292404736","created_at":1584371250000,"date":"2020-03-16","time":"15:07:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We're in better shape than China at comparable point in epidemic. China took 6 weeks between identification of community spread to lock down Wuhan. Hospitalizations didn’t peak for another four weeks. We identified our community spread earlier and taking aggressive steps earlier","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":287,"likes_count":1108,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239568982476234754","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239568879334109200,"conversation_id":"1239568413292404736","created_at":1584371225000,"date":"2020-03-16","time":"15:07:05","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Actions by governors is cause for optimism. States are taking this very seriously. Measures to limit mixing of people by closing bars, restaurants, venues; and those taken by businesses to keep employees at home where possible, will undoubtably impact the scope of this epidemic.","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":215,"likes_count":1148,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239568879334109184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239568413292404700,"conversation_id":"1239568413292404736","created_at":1584371114000,"date":"2020-03-16","time":"15:05:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: A transition is underway to address impact of #COVID19 in U.S. We're doing a lot of things right, and while there will be epidemic spread in America, we can still limit the scope and  preserve life. There's still a lot to be done. But our current vigilance serves us well","mentions":[],"urls":[],"photos":[],"replies_count":96,"retweets_count":1486,"likes_count":4091,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239568413292404736","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239249622297698300,"conversation_id":"1239249622297698305","created_at":1584295108000,"date":"2020-03-15","time":"17:58:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Italy reports 3,590 new cases of #COVID19 and 368 deaths, raising total to 24,747 cases and 1,809 dead. The scope of death and disease in Italy, a nation of 60 million, will dwarf the despair in China. Urgent action needed to save lives and learn what went so wrong in that nation","mentions":[],"urls":[],"photos":[],"replies_count":485,"retweets_count":2691,"likes_count":6287,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239249622297698305","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239037491241537500,"conversation_id":"1239037491241537536","created_at":1584244532000,"date":"2020-03-15","time":"03:55:32","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"South Korea is showing #COVID19 can be beat with smart, aggressive public health. Their daily new cases declined again to 76. They’ve tested 268,000 people for virus since their epidemic began and implemented aggressive containment and mitigation, closing schools, venues quickly.","mentions":[],"urls":[],"photos":[],"replies_count":300,"retweets_count":5219,"likes_count":14886,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239037491241537536","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238938294005780500,"conversation_id":"1238937023458795527","created_at":1584220882000,"date":"2020-03-14","time":"21:21:22","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"There will be major expansion in testing capability over coming week as labs bring these systems online. Bottlenecks will be ordering systems, supply chain, other logistics. Solving these issues should be a focus. FDA's device center led by Jeff Shuren has put us on solid footing","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":73,"likes_count":357,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238938294005780483","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238915421753028600,"conversation_id":"1238911623030624257","created_at":1584215429000,"date":"2020-03-14","time":"19:50:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"But we must do our best to make sure all Americans - regardless of economic means - has the opportunity to protect their families and reduce their risk with the kinds of social distancing approaches that we know can work. We must all have an equal shot at staying safe. Be safe!","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":77,"likes_count":440,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238915421753028614","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238912949831467000,"conversation_id":"1238911623030624257","created_at":1584214839000,"date":"2020-03-14","time":"19:40:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Maybe the right answer isn’t to keep schools open, but instead offer cash assistance and services to blunt impact of closing schools for those who can’t easily get by. Schools can remain sites to offer services to kids who have no option to stay home. We need a tailored approach.","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":125,"likes_count":649,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238912949831467010","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238912371017617400,"conversation_id":"1238911623030624257","created_at":1584214701000,"date":"2020-03-14","time":"19:38:21","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"As efforts aimed at social distancing, to break transmission, become widespread; these opportunities to improve your safety are not being evenly afforded. Office workers have more chance to telework than manual workers; and private schools close while public schools stay open.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":57,"likes_count":256,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238912371017617414","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238911911783211000,"conversation_id":"1238911623030624257","created_at":1584214592000,"date":"2020-03-14","time":"19:36:32","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These are very hard decisions. New York is considering social factors at play, including the burden on families when public schools close. But we must also consider the opposite burden; that decisions like these create risk of spread that begins to cluster by soceioeconooic lines","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":79,"likes_count":406,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238911911783211010","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238911623030624300,"conversation_id":"1238911623030624257","created_at":1584214523000,"date":"2020-03-14","time":"19:35:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: NY will remain perhaps the only big city school system to stay open after sustained community transmission has been identified in city limits. LA, SF, Chicago, Philly school systems are all closing. So are private NYC schools. Only public NYC schools are being kept open.","mentions":[],"urls":[],"photos":[],"replies_count":154,"retweets_count":577,"likes_count":1296,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238911623030624257","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238572501397049300,"conversation_id":"1238572501397049346","created_at":1584133670000,"date":"2020-03-13","time":"21:07:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Actions by White House today to sharply increase testing capacity and access, declare national emergency, implement new steps to protect vulnerable Americans, support assistance for those hardest hit by mitigation steps, all very important. Will meaningfully improve readiness.","mentions":[],"urls":[],"photos":[],"replies_count":221,"retweets_count":1185,"likes_count":4755,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238572501397049346","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238440612136919000,"conversation_id":"1238439868109328384","created_at":1584102225000,"date":"2020-03-13","time":"12:23:45","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"...This, in turn, can help make sure there are more platforms that can be used for #coronavirus testing. And FDA resources could then be prioritized toward working with manufacturers on a much needed, true point of care rapid test doctors can use in office.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":23,"likes_count":119,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238440612136919043","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238427901797769200,"conversation_id":"1238422649887494144","created_at":1584099195000,"date":"2020-03-13","time":"11:33:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The steps already being taken by businesses, cities, states to implement mitigation measures to achieve social distancing will have a tangible impact on the epidemiology of spread. Private industry, states like New York, have been leading the way with these aggressive measures.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":108,"likes_count":442,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238427901797769216","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238424149456048000,"conversation_id":"1238422649887494144","created_at":1584098300000,"date":"2020-03-13","time":"11:18:20","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We must focus on slowing spread through tough mitigation steps and reducing the scope and severity of the epidemic by good medical planning. Every day, every hour, is critical to preparedness.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":113,"likes_count":445,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238424149456048128","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238423813404196900,"conversation_id":"1238422649887494144","created_at":1584098220000,"date":"2020-03-13","time":"11:17:00","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We must also prepare hospitals for a surge in cases requiring advanced care that could start to become obvious in few weeks as people currently being infected start to develop complications. Time to hospitalization is more than a week so will take time for these cases to present.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":130,"likes_count":403,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238423813404196871","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238423216911237000,"conversation_id":"1238422649887494144","created_at":1584098078000,"date":"2020-03-13","time":"11:14:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We are likely to find that spread is far more distributed in communities across U.S. and while total case count may still be in high thousands or probably low ten thousands, the widespread seeding make an epidemic inevitable. Aggressive social distancing now must be focus.","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":259,"likes_count":687,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238423216911237120","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238287135792345000,"conversation_id":"1238287135792345089","created_at":1584065634000,"date":"2020-03-13","time":"02:13:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"South Korea, with aggressive #COVID19 screening and early mitigation measures, is turning the corner on their epidemic. They still have weeks to go, but the 110 new cases they report tonight are lowest number of daily cases since 2/22. This virus can be defeated with good policy.","mentions":[],"urls":[],"photos":[],"replies_count":255,"retweets_count":3547,"likes_count":10720,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238287135792345089","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238193023403597800,"conversation_id":"1238193023403597825","created_at":1584043195000,"date":"2020-03-12","time":"19:59:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The collective actions of private industry to suspend events, implement measures aimed at social distancing, will have meaningful impact on epidemiology of spread. The private sector is showing admirable leadership, as has NY Gov Cuomo who's acted with speed, precision, and care.","mentions":[],"urls":[],"photos":[],"replies_count":71,"retweets_count":561,"likes_count":2781,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238193023403597825","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238152239551778800,"conversation_id":"1238151740618399749","created_at":1584033472000,"date":"2020-03-12","time":"17:17:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Of note: This is the maximum capacity of these labs in terms of total number of patients they can test each day. It isn’t the actual number of patients tested. Many labs have more capacity than they’re currently using as the supply of testing is not being evenly matched to demand","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":38,"likes_count":134,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238152239551778816","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238060239225860000,"conversation_id":"1238058027510575107","created_at":1584011537000,"date":"2020-03-12","time":"11:12:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We’ll get through this. It’ll end. We have two hard months ahead of us. We need to sacrifice some of the trappings of normal life to reduce the scope and severity of what’s ahead. We must protect the vulnerable. We must act collectively in common interest. We must work together.","mentions":[],"urls":[],"photos":[],"replies_count":563,"retweets_count":5771,"likes_count":19389,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238060239225860098","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238060059080474600,"conversation_id":"1238058027510575107","created_at":1584011494000,"date":"2020-03-12","time":"11:11:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4. Social separation works. Every day we delay hard decisions, every day leaders don’t demand collective action, the depth of epidemic will be larger. We must act now. We have narrow window to avert a worse outcome. The virus is firmly rooted in our cities. We’re losing time 9/10","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":1122,"likes_count":3799,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238060059080474625","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238059867434254300,"conversation_id":"1238058027510575107","created_at":1584011449000,"date":"2020-03-12","time":"11:10:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3. We need to create surge capacity in hospitals. Congress must support the effort. Patients and providers can too. Elective procedures should be postponed for next few months. Hospitals should lower volumes everywhere they can.  We need to prepare for an influx of cases. 8/10","mentions":[],"urls":[],"photos":[],"replies_count":31,"retweets_count":801,"likes_count":3248,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238059867434254336","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238059700056461300,"conversation_id":"1238058027510575107","created_at":1584011409000,"date":"2020-03-12","time":"11:10:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2. Business is leading the way on mitigation and social distancing, filling a void left by policy makers. But shutting down NBA games is not enough. This must be practiced in places large and small. Small gatherings, parties, all should be postponed for the next month or two 7/10","mentions":[],"urls":[],"photos":[],"replies_count":39,"retweets_count":1050,"likes_count":3666,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238059700056461315","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238059568372035600,"conversation_id":"1238058027510575107","created_at":1584011377000,"date":"2020-03-12","time":"11:09:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Public health labs have been an outstanding pillar. They’re working around the clock. They’re the nation’s backbone of response. But they aren’t richly funded and are being maxed out against current facilities. Only clinical labs have ability to sharply scale the efforts. 6/10","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":488,"likes_count":2610,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238059568372035584","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238059087964840000,"conversation_id":"1238058027510575107","created_at":1584011263000,"date":"2020-03-12","time":"11:07:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"That means getting diagnostic kits approved that the companies can run on their automated platforms to dramatically scale testing. Only these big national chains have throughput, scale, and ordering systems to fill the void that was created. We look to them now. We need them 5/10","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":512,"likes_count":2802,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238059087964839937","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238058835526500400,"conversation_id":"1238058027510575107","created_at":1584011203000,"date":"2020-03-12","time":"11:06:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These are great American companies led by outstanding management teams, staffed with deeply committed, public health mind people who live in communities hurt by this virus. The national interest turns on their efforts. We must scale their ability to sharply expand screening 4/10","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":472,"likes_count":2887,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238058835526500352","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238058649139855400,"conversation_id":"1238058027510575107","created_at":1584011158000,"date":"2020-03-12","time":"11:05:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In some respects our fate rests on the entities that are capable of sharply ramping testing and distributing the services nationally. Academic labs can serve their institutions. Only big national clinical labs like LabCorp and Quest can fill the void. A lot rides on them now 3/10","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":706,"likes_count":3331,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238058649139855364","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238058288043958300,"conversation_id":"1238058027510575107","created_at":1584011072000,"date":"2020-03-12","time":"11:04:32","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1. It starts with aggressive screening to get people diagnosed. While testing capacity expands its not evenly distributed to places most needed, we’re far behind current caseloads. To many people still can’t get screened. So we can’t identify clusters and isolate disease 2/10","mentions":[],"urls":[],"photos":[],"replies_count":65,"retweets_count":822,"likes_count":3834,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238058288043958272","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1238058027510575000,"conversation_id":"1238058027510575107","created_at":1584011010000,"date":"2020-03-12","time":"11:03:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: In U.S. we face two alternative but hard outlooks with #COVID19: that we follow a path similar to South Korea or one closer to Italy. We probably lost chance to have an outcome like South Korea. We must do everything to avert the tragic suffering being borne by Italy 1/10","mentions":[],"urls":[],"photos":[],"replies_count":487,"retweets_count":9171,"likes_count":23269,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1238058027510575107","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237841680079831000,"conversation_id":"1237840557713457157","created_at":1583959429000,"date":"2020-03-11","time":"20:43:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We will monitor the implementation of this new guidance with labs and adjust our estimates as labs start to incorporate this new guidance and use the policy change to enable an increase their capacity to screen individual patients.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":12,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1237841680079831040","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237841313187238000,"conversation_id":"1237840557713457157","created_at":1583959341000,"date":"2020-03-11","time":"20:42:21","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It will require providers change how they collect samples. If they take two swabs (one nasal one throat) they would need to put both swabs into the same collection container. So it requires the system to change collection procedures. So may take some time to fully implement.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":23,"likes_count":101,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1237841313187237890","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237841231356416000,"conversation_id":"1237840557713457157","created_at":1583959322000,"date":"2020-03-11","time":"20:42:02","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"New guidance from CDC allowing labs to combine samples and test two samples on the same prep could allow labs to increase throughput and screen more patients daily. Theoretically, it could double testing capacity, if providers are (on average) collecting two samples per patient.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":29,"likes_count":106,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1237841231356416002","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237817355364900900,"conversation_id":"1237815553076670468","created_at":1583953629000,"date":"2020-03-11","time":"19:07:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Some labs were already combining samples into one; but when they run the sample, regulations still require two ‘targets’ or wells to be used for verification purposes, which is also eating into supply of reagents in question. This is another policy that may merit consideration.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":17,"likes_count":86,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1237817355364900865","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237795333574471700,"conversation_id":"1237792480747311104","created_at":1583948379000,"date":"2020-03-11","time":"17:39:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Not each lab is running at full capacity, in part because supply and demand are not evenly distributed. Federal health officials can help match lab capacity to demand, perhaps by brokering the sharing of samples between states that have needs and states that have capacity.","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":63,"likes_count":202,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1237795333574471682","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237094360531046400,"conversation_id":"1237066717764956161","created_at":1583781254000,"date":"2020-03-09","time":"19:14:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These numbers represent how many patients can be tested each day by each of these labs.","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":35,"likes_count":127,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1237094360531046400","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236781376155852800,"conversation_id":"1236780192284258310","created_at":1583706633000,"date":"2020-03-08","time":"22:30:33","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 Feds, states, mayors, public health experts must work together to develop a systematic approach on when tough mitigation steps should be triggered. We should work from a similar playbook that advances national interest, reduces scope of infection, and protects lives.","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":95,"likes_count":328,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236781376155852802","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236772308334895000,"conversation_id":"1236767137324306433","created_at":1583704471000,"date":"2020-03-08","time":"21:54:31","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"School closures (preemptive or reactive), curtailing gatherings, closing places where people congregate indoors like theaters, implementing widespread telework requirements, limiting mass transit, small measures to reduce social interactions, can all mitigate scope of epidemic.","mentions":[],"urls":[],"photos":[],"replies_count":37,"retweets_count":181,"likes_count":629,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236772308334895109","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236767752922312700,"conversation_id":"1236767137324306433","created_at":1583703384000,"date":"2020-03-08","time":"21:36:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 At the same time, we must provide direct economic assistance to cities, states, people burdened with hardship to compensate for large costs of strong mitigation steps and give cities more latitude to adopt such measures.  The national interest depends on strong local actions.","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":113,"likes_count":514,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236767752922312706","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236767137324306400,"conversation_id":"1236767137324306433","created_at":1583703238000,"date":"2020-03-08","time":"21:33:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/2 ‘lockdowns’ or forced mass quarantines like Italy, China aren’t right answer for U.S. They cause enormous social, health, economic costs. But we must adopt strong mitigation steps in areas of outbreak like Seattle that will significantly slow economic activity as consequence.","mentions":[],"urls":[],"photos":[],"replies_count":114,"retweets_count":269,"likes_count":877,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236767137324306433","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236477263820009500,"conversation_id":"1236473220783636481","created_at":1583634126000,"date":"2020-03-08","time":"02:22:06","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"11/n This is a dangerous virus. We have faced worse, and prevailed. People will suffer and die. The most vulnerable are at greatest risk. We must all work together to protect them. The next few months will be hard, but we will preserve life, and eventually conquer this pathogen","mentions":[],"urls":[],"photos":[],"replies_count":187,"retweets_count":1391,"likes_count":6545,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236477263820009472","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236476655981547500,"conversation_id":"1236473220783636481","created_at":1583633982000,"date":"2020-03-08","time":"02:19:42","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"10/n We will get through this. Some of these measures at social distancing, improved hygiene techniques, could persist. The epidemic will abate but outbreaks could occur again until we have a vaccine. Ultimately technology will vanquish this disease.","mentions":[],"urls":[],"photos":[],"replies_count":28,"retweets_count":649,"likes_count":3488,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236476655981547521","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236476268331389000,"conversation_id":"1236473220783636481","created_at":1583633889000,"date":"2020-03-08","time":"02:18:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"9/n Businesses need to do their part by offering flexibility to workers in order to make these mitigation measures effective - telework, flexibility when schools are closed and parents must tend to children, avoidance of unnecessary travel especially to and from areas of spread.","mentions":[],"urls":[],"photos":[],"replies_count":26,"retweets_count":688,"likes_count":3534,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236476268331388928","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236475657116430300,"conversation_id":"1236473220783636481","created_at":1583633743000,"date":"2020-03-08","time":"02:15:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"8/n There will be hardship especially among the vulnerable. We need to consider financial assistance; first aid through existing programs then perhaps a bigger supplemental. Many people can’t easily absorb missed work, closed schools. We must assist them for the measures to work","mentions":[],"urls":[],"photos":[],"replies_count":48,"retweets_count":885,"likes_count":4270,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236475657116430337","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236475003899728000,"conversation_id":"1236473220783636481","created_at":1583633588000,"date":"2020-03-08","time":"02:13:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"7/n Simple measures still matter. Hand washing, avoiding crowded indoor spaces, cleaning surfaces, keeping people more apart where appropriate. Businesses and individuals are responding with prudent and measured action, and need to step up these efforts.","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":777,"likes_count":3523,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236475003899727875","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236474501564637200,"conversation_id":"1236473220783636481","created_at":1583633468000,"date":"2020-03-08","time":"02:11:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"6/n We must support affected cities, states with financial assistance. The feds must strongly encourage states and cities that have outbreaks to take mitigation steps to help protect nation. But localities that take on these burdens should be compensated for hardships they incur","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":643,"likes_count":3527,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236474501564637184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236474351333052400,"conversation_id":"1236473220783636481","created_at":1583633432000,"date":"2020-03-08","time":"02:10:32","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"5/n We need a uniform and timely approach to mitigation and social distancing that local, state officials can follow and clear set of principles on when to adopt the measures. School closures, event cancellations, other aggressive steps need to be implemented now in certain areas","mentions":[],"urls":[],"photos":[],"replies_count":51,"retweets_count":911,"likes_count":4176,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236474351333052416","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236474021866340400,"conversation_id":"1236473220783636481","created_at":1583633354000,"date":"2020-03-08","time":"02:09:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4/n Mitigation: The goal is to reduce the number of cases at the peak of the epidemic. This extends the length of the epidemic, but can push the total number of cases at any one time below the point where the healthcare system gets exhausted, improving outcomes for patients.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":921,"likes_count":4384,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236474021866340353","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236473735588327400,"conversation_id":"1236473220783636481","created_at":1583633285000,"date":"2020-03-08","time":"02:08:05","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/n What should we do now? Moving quickly and aggressively to mitigate spread, reduce the scope of the epidemic here, continue to ready the healthcare system, work with cities and states to develop a uniform, systematic response; provide financial assistance to help these efforts","mentions":[],"urls":[],"photos":[],"replies_count":29,"retweets_count":756,"likes_count":3932,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236473735588327424","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236473451386474500,"conversation_id":"1236473220783636481","created_at":1583633218000,"date":"2020-03-08","time":"02:06:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n In last 10 days Italy diagnosed 95% of total cases they now report; South Korea 85%. 2 weeks ago, Italy had just 9 cases. 7 weeks ago, China reported 50 cases. The point: once the epidemics are discovered, they’ve been underway. Case counts grow quickly. Same likely true here","mentions":[],"urls":[],"photos":[],"replies_count":56,"retweets_count":1411,"likes_count":5384,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236473451386474496","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236473220783636500,"conversation_id":"1236473220783636481","created_at":1583633163000,"date":"2020-03-08","time":"02:06:03","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: On #Coronavirus, we may be entering a period of accelerating cases. The country could look very different over next two weeks. We’ll get through this, but need to take steps now to limit the scope and impact of virus. There are things we can do now to help ourselves. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":577,"retweets_count":9522,"likes_count":22528,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236473220783636481","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236245997052924000,"conversation_id":"1236240751538900993","created_at":1583578988000,"date":"2020-03-07","time":"11:03:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"5/n And we should be grateful to scientists in Seattle who had foresight, courage, skill to press ahead with this endeavor. That effort laid groundwork for U of W to have a lab effort ready that’s now providing significant testing capability. Their early efforts will save lives.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":143,"likes_count":905,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236245997052923910","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236245328552173600,"conversation_id":"1236240751538900993","created_at":1583578829000,"date":"2020-03-07","time":"11:00:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4/n Other countries like Netherlands have stood up robust sentinel surveillance efforts and are detecting early, hidden community spread of #coronavirus. Our experience in Seattle shows how important this approach can be. We should still press forward to implement such a system.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":89,"likes_count":405,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236245328552173571","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236243227507900400,"conversation_id":"1236240751538900993","created_at":1583578328000,"date":"2020-03-07","time":"10:52:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n The original goal was to implement sentinel surveillance in 5 cities to detect early spread. It was announced in testimony before Senate by HHS. It was expanded to also include Honolulu. Idea was to test indeterminate cases of flu like illness to see if it was #coronavirus","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":67,"likes_count":253,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236243227507900422","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236099796752097300,"conversation_id":"1236089938141212676","created_at":1583544131000,"date":"2020-03-07","time":"01:22:11","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"* Error: 2nd tweet should read “throughput” not “throughout”","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":3,"likes_count":34,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236099796752097282","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236092314881310700,"conversation_id":"1236089938141212676","created_at":1583542348000,"date":"2020-03-07","time":"00:52:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It's must continue to be two pronged strategy. Expanding the universe of labs that can offer testing is just as critical as expanding supply of test kits or reagents that are consumed in the process of conducting these tests. Appropriately, the focus has been on both these goals.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":43,"likes_count":155,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236092314881310721","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236091252304679000,"conversation_id":"1236089938141212676","created_at":1583542094000,"date":"2020-03-07","time":"00:48:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The bottom line is this: The key metric is how many patients can be tested a day. The way to grow that number substantially is to expand universe of labs that can offer #coronavirus tests, and make sure they have the reagents or kits to run the samples that providers send. 4/n","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":81,"likes_count":247,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236091252304678912","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236090888159457300,"conversation_id":"1236089938141212676","created_at":1583542007000,"date":"2020-03-07","time":"00:46:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"So the other part of the challenge is getting more labs into the effort. This is where the efforts by Quest and LabCorp to start their own testing, as well as the FDA policy accommodation that makes it easier for academic labs to start running their own tests, is critical.  3/n","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":35,"likes_count":111,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236090888159457280","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236090508151316500,"conversation_id":"1236089938141212676","created_at":1583541917000,"date":"2020-03-07","time":"00:45:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The other part of the challenge is getting more labs operating the #coronavirus test. If your only lab can prep and test 100 samples a day, your \"throughout\" is only 50 patients that can be tested a day (2 samples per patient). More reagents won't get more patients tested. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":29,"likes_count":98,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1236090508151316482","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235581046634303500,"conversation_id":"1235568500774768640","created_at":1583420452000,"date":"2020-03-05","time":"15:00:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"* error: in third tweet it reads “It’s time for collecting action. 3/n” and meant to read “It’s time for collective action. 3/n”","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":29,"likes_count":170,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235581046634303488","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235580842275111000,"conversation_id":"1235568500774768640","created_at":1583420403000,"date":"2020-03-05","time":"15:00:03","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"So what can Congress do? Perhaps consider aid to cities that take tough local measures that impact their local economic activity as part of a broader, collective, national effort to mitigate spread and positively impact the nation’s overall risk.","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":96,"likes_count":382,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235580842275110912","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235579552375738400,"conversation_id":"1235568500774768640","created_at":1583420095000,"date":"2020-03-05","time":"14:54:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"While a comparison to China is premature, not directly applicable given relative scale of Wuhan to China vs. Seattle to U.S.; roughly, Wuhan airport had half air traffic of SEA-TAC, even accounting for both international and domestic passengers with 24M total passengers in 2018.","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":66,"likes_count":245,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235579552375738374","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235577261203603500,"conversation_id":"1235568500774768640","created_at":1583419549000,"date":"2020-03-05","time":"14:45:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The area is tightly connected to nation. In 2019, 46M domestic passengers passed through Seattle’s airport – 8th busiest airport in U.S. by passenger numbers. There were 91 non-stop domestic destinations, with routes to California, Oregon, Alaska, and Colorado among most popular.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":100,"likes_count":329,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235577261203603457","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235569607999737900,"conversation_id":"1235568500774768640","created_at":1583417724000,"date":"2020-03-05","time":"14:15:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These outbreaks are local public health crises with direct national consequence. It’s a time for Congress to consider how we encourage states and cities to take tough local measures that sacrifice local economic activity for sake of nation. It’s time for collecting action. 3/n","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":167,"likes_count":682,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235569607999737857","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235569107837300700,"conversation_id":"1235568500774768640","created_at":1583417605000,"date":"2020-03-05","time":"14:13:25","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We’re losing valuable time. Longer we take to implement tough mitigation steps in areas of outbreak like Seattle, the larger, longer our epidemic curve will grow. Should we consider emergency economic aid for cities that implement tough measures to mitigate local outbreaks? 2/n","mentions":[],"urls":[],"photos":[],"replies_count":60,"retweets_count":331,"likes_count":1030,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235569107837300736","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235568500774768600,"conversation_id":"1235568500774768640","created_at":1583417460000,"date":"2020-03-05","time":"14:11:00","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: In our federal system, local leaders get lot of discretion in reacting to local public health crisis. But #coronavirus, which may start regionally, is national threat. So how do we get Seattle to shut down their economy for good of nation? No city wants to go first 1/n","mentions":[],"urls":[],"photos":[],"replies_count":150,"retweets_count":768,"likes_count":1705,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235568500774768640","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235342332297388000,"conversation_id":"1235339427213389825","created_at":1583363538000,"date":"2020-03-04","time":"23:12:18","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4/n Work done by 2 public health labs for NY shows how it can be done. For LDTs, CLIA process can be leveraged to streamline review. It can be pre-specified that high complexity labs meeting CLIA requirements will meet FDA requirements, perhaps with clearly defined modifications.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":8,"likes_count":36,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235342332297388038","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235340036834545700,"conversation_id":"1235339427213389825","created_at":1583362990000,"date":"2020-03-04","time":"23:03:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/n The EUA process should be efficient for labs that follow FDA’s guidance to develop well validated tests and have strong controls. FDA can make templates and common protocols available to help labs working through the process for the first time.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":9,"likes_count":38,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235340036834545666","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235339722802765800,"conversation_id":"1235339427213389825","created_at":1583362916000,"date":"2020-03-04","time":"23:01:56","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n The regulatory path for labs that start #coronavirus testing and seek EUA could be flexible, taking account of the expertise and good processes that these high complexity labs have in developing tests.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":33,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235339722802765830","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235339427213389800,"conversation_id":"1235339427213389825","created_at":1583362845000,"date":"2020-03-04","time":"23:00:45","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n The large clinical labs are a great national asset and have an important role to play in responding to public health emergencies like #coronavirus. These policy accommodations can help them advance this important mission.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":30,"likes_count":106,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235339427213389825","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235247582617702400,"conversation_id":"1235247582617702401","created_at":1583340948000,"date":"2020-03-04","time":"16:55:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n The U.S. has about 130 cases of #coronavirus across 16 states. So, what are some mitigation steps other countries took when they were at similar (or earlier) stages in their outbreaks and epidemics?","mentions":[],"urls":[],"photos":[],"replies_count":64,"retweets_count":339,"likes_count":602,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235247582617702401","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235202478083379200,"conversation_id":"1235201554510155776","created_at":1583330194000,"date":"2020-03-04","time":"13:56:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n The U.S. challenge is these are local decisions so local leaders often view their outbreak regionally, not a national context. Other nations took stringent steps in regions to protect national interest. In U.S. many decisions are often made on statewide basis","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":84,"likes_count":327,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235202478083379201","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235201554510155800,"conversation_id":"1235201554510155776","created_at":1583329974000,"date":"2020-03-04","time":"13:52:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n We have window of opportunity to sharply alter trajectory of a U.S. #coronavirus epidemic by local officials taking forceful mitigation steps in areas of known outbreaks like Santa Clara, Washington State. Singapore, Italy, South Korea took bolder steps at similar juncture.","mentions":[],"urls":[],"photos":[],"replies_count":75,"retweets_count":476,"likes_count":1073,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235201554510155776","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235176815595081700,"conversation_id":"1235165915722981376","created_at":1583324075000,"date":"2020-03-04","time":"12:14:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4/n Regardless of how we got here, we now need to ramp testing capability quickly to avert a wider U.S. epidemic of #coronavirus. This is a challenge that the large national labs are uniquely positioned to help solve. They can be a great asset in our efforts to combat this virus.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":52,"likes_count":206,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235176815595081728","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235176030006055000,"conversation_id":"1235165915722981376","created_at":1583323888000,"date":"2020-03-04","time":"12:11:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/n We support large testing services in this nation and contract substantial government business to these entities. We view them favorably for their breadth, depth. We maintain, support large high complexity national chains for moment of public health crisis like this.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":16,"likes_count":109,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235176030006054919","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235166228232142800,"conversation_id":"1235165915722981376","created_at":1583321551000,"date":"2020-03-04","time":"11:32:31","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n High complexity labs that perform national testing have the same ability to validate tests as academic and hospital labs that are stepping up to increase testing capacity.  LabCorp, Quest, others; need to get in the game.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":57,"likes_count":231,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235166228232142849","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1235165915722981400,"conversation_id":"1235165915722981376","created_at":1583321477000,"date":"2020-03-04","time":"11:31:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n On #coronavirus testing: The nations big clinical labs meet in Washington today for a convention and their CEOs are in town meeting with federal elected leaders. This is their moment. They ought to step up. They may be judged by what they now do.","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":169,"likes_count":462,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1235165915722981376","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234842103638823000,"conversation_id":"1234841638314430468","created_at":1583244274000,"date":"2020-03-03","time":"14:04:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n A lot of this effort turns on local logistics and coordination.  Which labs have the test, how to order, what’s the turnaround time, where to refer sick patients, who can isolate at home, and training providers on ordering criteria and systems for administering screening.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":26,"likes_count":138,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234842103638822913","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234841638314430500,"conversation_id":"1234841638314430468","created_at":1583244163000,"date":"2020-03-03","time":"14:02:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n As testing capacity for #coronavirus comes online, everyone must lean forward to implement broad screening, including feds, but also state, local health officials. Our goal? Make sure system allows anyone a doctor thinks should be tested for coronavirus is able to be tested.","mentions":[],"urls":[],"photos":[],"replies_count":29,"retweets_count":150,"likes_count":475,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234841638314430468","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234568274488238000,"conversation_id":"1234566829240176642","created_at":1583178988000,"date":"2020-03-02","time":"19:56:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/n These are tragic deaths and illnesses. We need to work together to limit spread of the virus, and its impact on Americans -- especially vulnerable people who are at particular risk of the virus, or the hardships created by the steps we'll need to take to mitigate its spread.","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":36,"likes_count":179,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234568274488238082","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234567603806490600,"conversation_id":"1234566829240176642","created_at":1583178828000,"date":"2020-03-02","time":"19:53:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n These more sick patients will be the first to present for testing. It will give a skewed view of the overall severity as initial cases diagnosed will be more ill. Then screening will also catch up to the broader community spread, and case counts are likely to grow quickly.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":62,"likes_count":219,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234567603806490624","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234472183486992400,"conversation_id":"1234469504249483272","created_at":1583156078000,"date":"2020-03-02","time":"13:34:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"People shouldn’t be alarmed as mitigation steps start to unfold (school closings, cancellations, transportation restrictions, other measures). The tools of public health have been long rehearsed for these threats. Our public health officials will deploy them with care and effect.","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":100,"likes_count":292,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234472183486992387","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234471161934811100,"conversation_id":"1234469504249483272","created_at":1583155835000,"date":"2020-03-02","time":"13:30:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Other nations have shown that mitigation and containment can impact spread. While their experience isn’t transferable to ours, there’s a lot we now know and advantages we have in U.S. when it comes to confronting these threats. Our providers and planning will serve us well now.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":42,"likes_count":150,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234471161934811137","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234470493828329500,"conversation_id":"1234469504249483272","created_at":1583155675000,"date":"2020-03-02","time":"13:27:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"As we broaden testing, case counts will rise. The virus has been spreading slowly in the U.S. for some time and remained undetected. We still have the capacity to prevent very large outbreaks or epidemic spread. These efforts, and caring for the sick, must be our focus now.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":79,"likes_count":215,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234470493828329474","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234318670442246100,"conversation_id":"1234311593715884032","created_at":1583119478000,"date":"2020-03-02","time":"03:24:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We have capacity to contain small outbreaks where possible and mitigate large outbreaks where containment can no longer be achieved. We can prevent epidemic spread in U.S. We're entering a more difficult phase in this virus. It'll require hard decisions by state health officials.","mentions":[],"urls":[],"photos":[],"replies_count":53,"retweets_count":219,"likes_count":492,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1234318670442246144","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233942916529369000,"conversation_id":"1233940433081896960","created_at":1583029891000,"date":"2020-03-01","time":"02:31:31","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"6/n But hospitalization rates by age of COVID19 compared to flu, with all the caveats of confounding factors which are substantial, could suggest middle aged and younger adults get serious illness at disproportionate rate relative to the experience with influenza. This isn’t flu.","mentions":[],"urls":[],"photos":[],"replies_count":38,"retweets_count":274,"likes_count":629,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233942916529369089","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233898969320902700,"conversation_id":"1233897626812153857","created_at":1583019413000,"date":"2020-02-29","time":"23:36:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"59 of the patients are hospitalized, suggesting that there may be a significant amount of mildly symptomatic spread that is not yet being detected as broader testing for #coronavirus in France just gets underway.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":62,"likes_count":229,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233898969320902659","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233787633081430000,"conversation_id":"1233785752544333824","created_at":1582992869000,"date":"2020-02-29","time":"16:14:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"*Note: Fixed from earlier tweet. I believe we have localized hot spots now not widespread transmission across U.S. How many cases does it add up to across whole country? Hundreds. Maybe low thousands. It’s still in early phases of transmission or we’d see more signals in epi data","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":49,"likes_count":192,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233787633081430016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233786204505723000,"conversation_id":"1233785752544333824","created_at":1582992528000,"date":"2020-02-29","time":"16:08:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Ultimately, what’s the end? We’ll know the starting point, but when will it be over? It may require a technological solution: A therapeutic or vaccine. We should start a robust, overwhelming effort to get that treatment or cure. It’s obtainable. That should also be big focus now.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":41,"likes_count":199,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233786204505722881","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233785931783639000,"conversation_id":"1233785752544333824","created_at":1582992463000,"date":"2020-02-29","time":"16:07:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Our experience in the U.S. should be very different than China. Hong Kong and Singapore have sharply lengthened doubling times by prudent public health measures. We have the capacity to do the same and buy time, so we can get into the peak summer when transmission should slow 2/n","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":29,"likes_count":150,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233785931783639042","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233599316222267400,"conversation_id":"1233598925103345664","created_at":1582947970000,"date":"2020-02-29","time":"03:46:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This is a major development and much needed expansion in testing capacity. We still have a window to identify outbreaks in the U.S. and prevent epidemic spread. We need to seize it with widespread testing, control measures, mitigation, and concerted effort to develop therapeutics","mentions":[],"urls":[],"photos":[],"replies_count":54,"retweets_count":286,"likes_count":1022,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233599316222267394","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233598925103345700,"conversation_id":"1233598925103345664","created_at":1582947877000,"date":"2020-02-29","time":"03:44:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Tonight administration announced they are allowing high complexity U.S. labs to advance their own tests for #Coronavirus. Coupled with public health labs, which will be at full tilt by Friday using revised CDC test, capacity could reach 10,000+++ tests a day in next two weeks.","mentions":[],"urls":[],"photos":[],"replies_count":171,"retweets_count":1014,"likes_count":2805,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233598925103345664","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233021681918193700,"conversation_id":"1233021681918193664","created_at":1582810252000,"date":"2020-02-27","time":"13:30:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"NEW: FDA’s device center is taking significant steps to expand U.S. testing capacity by establishing efficient EUA path, rolling reviews for public health labs to offer lab developed tests to detect #COVID19. This is major step reflecting superb leadership by Jeff Shuren and team","mentions":[],"urls":[],"photos":[],"replies_count":58,"retweets_count":185,"likes_count":580,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1233021681918193664","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232986207556112400,"conversation_id":"1232983241918906368","created_at":1582801794000,"date":"2020-02-27","time":"11:09:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"A therapeutic is possible and can be a brake on this virus. The summer may limit its spread. An epidemic in U.S. is far from inevitable. We can confront and conquer this virus. We can limit its impact on American lives. But we need to face  it aggressively now. The moment is now.","mentions":[],"urls":[],"photos":[],"replies_count":30,"retweets_count":118,"likes_count":394,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232986207556112384","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232985406439858200,"conversation_id":"1232983241918906368","created_at":1582801603000,"date":"2020-02-27","time":"11:06:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4. Small changes in behavior can have big impact when spread over population. Treat this like very bad flu season. Wash your hands, avoid sick contacts, stay home when sick. We may need to start engaging in mitigation steps to limit social engagements. Prudent actions count. 5/n","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":104,"likes_count":323,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232985406439858187","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232984792678981600,"conversation_id":"1232983241918906368","created_at":1582801456000,"date":"2020-02-27","time":"11:04:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This is the moment for focused activity from regulators. Me must place multiple bets. The CDC diagnostic kit still has limited capacity, even if it works on the second try. We must place more bets on other diagnostic platforms to rapidly and dramatically broaden screening 4/n","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":60,"likes_count":250,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232984792678981633","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232984407432147000,"conversation_id":"1232983241918906368","created_at":1582801365000,"date":"2020-02-27","time":"11:02:45","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3. We also need all of the above approach on diagnostics. This is a public health crisis even if we avoid epidemic here. The only way we’ll avert a bad outcome is to treat this like a crisis. We must put concerted effort behind lab tests, kits, and a point of care diagnostic 3/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":65,"likes_count":264,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232984407432146944","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232983843998748700,"conversation_id":"1232983241918906368","created_at":1582801230000,"date":"2020-02-27","time":"11:00:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2. Vaccines are possible but longer way off. We must crash development of drug therapeutics and antibodies that can be used for prophylaxis in those at greatest risk. This must be all of the above approach. It must be supported with a substantial supplemental from Congress. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":60,"likes_count":265,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232983843998748672","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232983241918906400,"conversation_id":"1232983241918906368","created_at":1582801087000,"date":"2020-02-27","time":"10:58:07","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: We can confront #coronavirus with science. We need a concerted effort now to develop diagnostics, vaccines, and therapeutics. What does this entail? 1. We must put significant money behind these efforts now. We have window of opportunity but we must seize this moment 1/n","mentions":[],"urls":[],"photos":[],"replies_count":56,"retweets_count":426,"likes_count":954,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232983241918906368","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232888762696421400,"conversation_id":"1232888199707533313","created_at":1582778561000,"date":"2020-02-27","time":"04:42:41","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Implementing patient specific surveillance for #covid19 as part of our tracking of influenza like illness is going to be a key step for enabling early detection and mitigation of outbreaks.","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":51,"likes_count":197,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232888762696421383","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
